| Name Of the Firm : | Raj Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Plot No. 641, Khata no. 544, Ward No. 07, House No. 09, At/P.O.- Chikiti Pentho (Sanibar Pentho) |
| RP Name : | Bibartana Mahanty |
| Registration Number : | 23251 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Anita Patro |
| R : | SLGAI-599 |
| RC : | SLGAI-600 |
| RX : | SLGAI-305 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | |
| Date of Expiry : | |
| Remarks : |